ZR/TJLES 


—  AND 


REGULATIONS 


—  OF  THE  — 


INSANE  ASYLUM  OF  CALIFORNIA. 


PRESCRIBED  BY  THE  RESIDENT  PHYSICIAN, 

AUGUST  1,  1861. 


STOCKTON : 

ARMOR  &  CLAYES,  PRINTERS. 
1861. 


RESIDENT  PHYSICIAH. 


The  Resident  Physician,  who  shall  also  be  the  Superin- 
tendent, shall  be  the  chief  executive  officer  of  the  Asylum; 
he  shall  have  the  general  superintendence  of  the  buildings, 
grounds,  and  property,  subject  to  the  laws  and  regulations 
of  the  Trustees;  he  shall  have  the  sole  control  and  man- 
agement of  the  patients;  he  shall  ascertain  their  condition, 
daily  prescribe  their  treatment,  and  adopt  such  sanitary 
measures  as  he  may  think  best;  he  shall  appoint,  with  the 
approval  of  the  Trustees,  so  many  attendants  and  assist- 
ants as  he  may  think  proper  and  necessary  for  the  econom- 
ical and  efficient  performance  of  the  business  of  the  Asy- 
lum, prescribe  their  several  duties  and  places; — he 
shall,  also,  from  time  to  time,  give  such,  orders  and  instruc- 
tions as  he  may  judge  best  calculated  to  insure  good  con- 
duct, fidelity  and  economy  in  every  department  of  labor 
and  expense;  and  he  is  authorized  and  enjoined  to  main- 
tain salutary  discipline  among  all  who  are  employed  by 
the  Institution,  and  uniform  obedience  to  all  the  rules  and 
regulations  of  the  Asylum. — [State  Law  0/1858. 


332857 


ASSISTANT  PHYSICIAN. 


FIRST. 

"The  Assistant  Physician  shall  perform"  the  "duties, 
and  be  subject  to  the  responsibility  of  the  Superintendent, 
in  his  sickness  or  absence,  and"  he  "may  call  to  his 
aid,  for  the  time  being,  such  medical  assistance,  as  he 
may  deem  necessary" — "and  perform  such  other  duties  as 
may  be  directed  by  the  Superintendent  and  prescribed  by 
the  By-Laws.— [State  Law  of  1858. 


SECOND. 

He  shall  prepare  and  superintend  the  administration  of 
medicines,  visit  the  wards  frequently,  and  carefully  note 
the  condition  and  progress  of  individual  cases  ;  see  that  the 
directions  of  the  Superintendent  are  faithfully  executed, 
and  promptly  report  any  case  of  neglect  or  abuse  that  may 
come  under  his  observation,  or  of  which  he  may  be  in- 
formed. 


THIRD. 

He  shall  assist  in  devising  employment  and  recreation 
for  the  patients,  and  endeavor  in  every  way  to  promote 
their  comfort  and  recovery ;  keep  such  records  of  cases  as 
the  Superintendent  may  direct,  assist  in  preparing  statis- 
tics, and  conducting  correspondence,  and  he  shall  perform 
such  other  duties  of  his  office  as  properly  belong  thereto. 


GENERAL  RULES. 


1.  Persons  employed  in  the  service  of  the  Asylum  will 
learn   that  character,  proper  deportment,  and  faithfulness 
to  duty,  will  alone  keep  them  in  the  situations  in  which 
they  are  placed  ;  and  they  should  consider  well,  hefore  en- 
tering upon  service,  whether  they  are  prepared  to  devote 
all  their  time,  talents,  and  efforts,  in  the  discharge  of  the 
duties  assigned  to  them.     The  Institution  will  deal  in  strict 
good  faith  with  its  employees,  and  it  will  expect,  in  return, 
prompt,  .faithful,  and  self-denying  service. 

2.  No  one  can  justly  take  offense  when  respectfully 
informed  hy  the  Superintendent,  that  his  or  her  tempera- 
ment is  "better  adapted  to  some  other  employment;  and 
those  receiving  such  information  should  regard  it  as  kindly 
given,  that  they  may  have  opportunity  to  avoid  the  unpleas- 
antness of  being  discharged. 

8.  Those  employed  at  the  Asylum  will  he  expected  to 
hold  themselves  in  readiness  for  duty  when  directed  hy  its 
officers ;  and  the  neglect  of  any  labor,  or  duty,  on  the 
ground  that  laboring  hours  are  over,  or  to  hesitate,  after 
proper  direction,  on  such  pretexts,  will  be  regarded  as  evi- 
dence against  the  fitness  of  the  employee  for  the  place  he 
or  she  may  hold. 

4.  It  must  be  remembered  by  all  the  employees,  that 
their  duties  are  peculiar  and  confidential,  and  that  there  is 
an  obvious  impropriety  in  disclosing  the  names,  peculiari- 
ties, or  acts  of  the  inmates.  It  should  never  be  forgotten 
that  the  most  cruel  wounds  may,  by  imprudent  disclosures, 
be  inflicted  on  those  whose  conduct  and  language,  during 
their  misfortune,  should  be  covered  with  the  vail  of  deep- 
est secrecy.  Conversations,  in  relation  to  the  Asylum  and 


its  inmates,  sought  by  the  idle  and  mischievous,  should  be 
studiously  avoided . 

f>.  All  persons  employed  in  the  Asylum  are  required 
to  cultivate  a  calm  and  deliberate  method  of  performing 
their  daily  duties  —  carelessness  and  precipitation  being 
never  more  out  of  place  than  in  an  insane  asylum.  Loud 
talking,  hurrying  up  and  down  stairs,  rude  forms  of  address 
to  one1  another,  and  unsightly  styles  of  dress,  are  wholly 
misplaced  where  everything  should  be  strictly  decorous 
and  orderly. 

6.  In  the  management  of  patients,  unvarying  kindness 
must  be  strictly  observed  by  all.     When  spoken  to,  mild, 
pleasant  and  persuasive  language  must  never  give  place  to 
authoritative  expressions  of  any  kind.     All  threats,  taunts, 
or  other  kinds  of  abuse  in  language,  are  expressly  forbid- 
den.    A  blow,  kick,  or  any  other  kind  of  physical  abuse, 
inflicted  on  a  patient,  will  be  immediately  followed  by  the 
dismissal  of  the  person  so  offending. 

7.  Emplyees  having  charge  of  patients  outside  of  the 
wards,  whether  for  labor  or  exercise,  will  be  held  responsi- 
ble for  their  safe  return,  unless,  by  the  direction  of  an  offi- 
cer they  shall  be  tranferred  to  the  charge  of  some  other 
person ;  and  when  patients  employed  out  of  doors  become 
excited,  they  must  be  immediately  returned  to  the  wards 
whence  they  were  taken,  and  the  fact  reported  at  the  office. 

8.  It  will  be  expected  of  all  employed  in  or  about  the 
Asylum,  to  check,  as  far  as  possible,  all  conversations  or 
allusions,  on  the  part  of  patients,  to  subjects  of  an  obscene 
or  improper  nature,  and  remove,  when  in  their  power,  false 
impressions  on  their  minds,  respecting  their  confinement 
or  management ;  and  any  person  who  shall  discover  a  pa- 
tient devising  plans  for  escape,  suicide,  or  violence  to  oth- 
ers, is  enjoined  to  report  it  to  an  officer  without  delay. 

9.  The  place  of  duty  of  those  having  charge  of  patients 
is  in  the  wards,  or  in  the  yards,  or  in  the  garden  with  the 
patients.     During  the  day  and  while  the  patients  are  out  of 
their  sleeping  apartments,  they  have  no  business  in  their 


rooms,  except  tor  a  momentary  errand  to  adjust  their 
own  clothing;  mid  any  employee  who  sliall  enter  liis  oi- 
lier room,  and  engage  in  reading,  writing,  entertaining  vis- 
itors, or  be  otherwise  oft' duty,  will  be  acting  in  violation  of 
rule. 

10.  The   employees   are    not    permitted  to  correspond 
with  the  friends  of  patients  :  and  all  letters  or  packages  to, 
or  from,  patients,  must  pass  through  the  hands  of  the  Su- 
perintendent or  Assistant  Physician.     All  making  of  dress- 
es, working  of  embroidery,  or  any  mechanism,  for  the  use 
of  employees,  is  prohibited,  unless  by  the  special  permis- 
sion of  the  Superintendent;  and  no  employee  of  the  Insti- 
tution shall  ever  make  any  bargain  with  any  patient,  or  his 
or  her  friends,  or  accept  of  any  fee,  reward  or  gratuity  from 
any  patient,  or  his  or  her  friends,  without  the  Superintend- 
ent's consent. 

11.  Employees  will  not  be  permitted  to  leave  the  Asy- 
lum without  the  consent  of  the  Superintendent  or  Assist- 
ant Physician,  and,  when  allowed  to  leave,  they  will  be  ex- 
pected to  return  by  9  o'clock  p.  M. — unless  expressly  per- 
mitted to  remain  out  longer.     Before  leaving  they  must 
hang  up  their  keys  in  the  place,  in  the  officej  provided  for 
that  purpose.     Xon-residents  will  not  be  permitted  to  re- 
main in  the  Institution  at  night  without  the  knowledge  and 
consent  of  the  Superintendent  or  Assistant  Physician. 

12.  No  person  will  be  employed  in  or  about  the  Asy- 
lum who  is  intemperate  in  habits,  or  who  engages  in  gam- 
bling or  any  other  immoral  or  disreputable  practice ;  and 
as  the  patients  are  not  allowed  the  use  of  tabacco,  within 
the  Asylum,  the  employees  are  expected  not  to  use  it,  in 
any  form,  in  their  presence. 

13.  While  employees  are  not  prohibited  from  occasion- 
ffl.lt/  visiting  each  other  in  their  wards,  it  should  never  be- 
come a  habit,  and  the  indulgence  is  only  allowed  in  view 
of  the  spirit  of  emulation,  which  may  thus  be  encouraged 
by  sometimes  inspecting  each  other's  sphere  of  duty.  When 
it  is  discovered  that  the  permission  is  abused,  or  that  visits 


8 

arc  being  spent  in  idle  conversation,  it  will  be  held  as  a 
violation  of  rule. 

14.  The  two  departments  of  the  Institution — male  and 
female — must  always  be  separate  to  its  employees,  and  no 
person,  whose  post  of  duty  is  exclusively  in  the  one,  shall 
over  be  permitted  to  enter  the  other,  unless  some  express 
or  proper  occasion  shall  demand  it ;  and  any  one  who  shall 
discover,  and  not  disclose,  or  who  shall  in  any  way  encour- 
age, an  acquaintance  between  two  patients,  of  opposite  sex, 
will  be  held  highly  culpable  for  such  misdemeanor,  and 
will  be  forthwith  dismissed  from  service. 

15.  No  employee  will  be  permitted  to  appropriate  to 
his  or  her  use  any  article  belonging  to  the  Asylum,  or  pur- 
chased for  the  use  of  the  patients,  however  small  or  com- 
paratively valueless  it  may  be.     From  the  salary  of  the  per- 
son so  offending,  the  cost  of  the  article  will  be  deducted, 
and  he  or  she  dismissed  from  service. 


STEWARD. 

1.  The  Steward  shall  have  a  general  oversight  of  the 
business  of  the  farm,  garden,  grounds,  fences  and  build- 
ings ;  he  shall  assist  in  maintaining  the  police  regulations 
of  the  Asylum,  observe  the  deportment  of  those  employed 
in  subordinate  positions,  see  that  they  do  their  duty,  and 
report  to  the  Superintendent  any  instance  of  neglect  or 
misconduct,  that  he  may  observe,  or  of  which  he  may  be 
informed ;  he  shall  see  to  the  opening  and  closing  of  the 
house ;  that  the  employees  rise  and  commence  their  duties 
at  the  ringing  of  the  bell,  and  return  at  proper  season  at 
night ;  that  the  bell  is  rung  promptly  at  such  hours  as  may 
be  designated,  from  time  to  time,  by  the  Superintendent. 
He  shall  have  a  general  care  of  the  male  patients,  see  that 
they  are  kindly  treated,  that  their  clothes  are  taken  care 
of,  that  their  food  is  properly  cooked,  served  and  distribu- 


9 


ted,  that  the  rooms,  passages  and  other  apartments  arc 
kept  clean  and  properly  wanned  and  vent ilatcd,  and  tliat 
every  tiling  pertaining  to  the  Asylum  property  is  kept  in 
order  and  in  good  repair. 

•2.  The  Steward  shall  receive  and  store  all  provisions, 
fuel,  clothing,  ete.  provided  by  contracts,  and,  also,  all  sup- 
plies purchased  under  the  direction  of  the  Superintendent, 
and  lie  will  he  held  responsible  for  the  safe-keeping  and 
economical  distrilmtion  of  the  same. 

3.  lie  shall   keep  just,   accurate  and   methodical  ac- 
counts of  all  articles  received,  and  all  articles  purchased  by 
him,  together  with  all  distributions  of  supplies  to  the  sev- 
eral departments  of  the  Institution — each  and  every  day's 
accounts  exhibiting,  in  detail,  the  number,  quantity  weight 
or  measurement,  as  the  nature  of  the  case  may  be,  of  each 
and  every  article  received,  and  from  whom,  and  distribu- 
ted, and  to  whom. 

4.  On  the  receipt  of  supplies,  whether  obtained  un- 
der contract,  or  purchased  by  order  of  the  Superintend- 
ent, the  Steward  shall  require  a  bill  or  invoice  of  the  same, 
and  if,  upon  a  careful  examination  of  the  quality,  quantity, 
weight  or  measurement  of  the  article  or  articles,  they  shall 
be  found  to  correspond  with  the  item  or  items  of  the  bill, 
he  shall  enter  the  aggregate  amount,  with  the  date  and 
number  of  the  invoice,  in  a  book  provided  for  that  purpose, 
after  which  he  shall  endorse  the  bill  correct,  and  file  it,  to- 
gether with  an  abstract  of  his  daily  disbursements,  in  the 
office  of  the  Superintendent. 

5.  The  Steward  will  be  expected  to  devote  his  whole 
time  to  the  interests  of  the  Institution,  assist,  in  every  way 
in  his  power,  to  preserve  order  in  the  house,  and  faithful- 
ness among  the  employees,  and  see  that  all  the  rules  and 
regulations  of  the  Asylum  are  fully  observed. 

2 


10 


MATRON. 

1.  The  Matron  shall  have  charge  of  the  female  depart- 
ment of  the  Asylum.     It  will  be  expected  of  her  to  be  with 
the  female  patients,  in  all  the  wards,  as  much  as  possible ; 
see  that  they  are  kindly  treated ;  that  their  food  is  properly 
cooked,  served  and  distributed ;  that  their  apartments  are 
kept  clean  and  in  good  order,  and  properly  warmed  and 
ventilated;  that  the  female  employees  attend  to  their  du- 
ties in  all  respects,  and  report  to  the  Superintendent  any 
departure,  on  their  part,  from  the  rules  and  regulations  of 
the  Institution. 

2.  The   bedding,  table   linen,  napkins,    and   drapery 
furniture,    carpets,    table    covers,    and    all    similar    prop- 
erty of  the  female  department,  as  well  as  the  clothing  of 
the  female  patients,  shall  be  under  her  general  care  and 
supervision.     She  shall  direct  the  employment  and  amuse- 
ments of  all  the  inmates  of  the  female  wards ;  in  short,  it 
will  be  expected  of  her  to  look  frequently  and  carefully 
into  every  interest  connected  with  her  department ;   and 
thus,  by  devoting  her  whole  time  to  the  Institution,  aid  in 
every  way  in  her  power,  in  securing  the  comfort  and  recov- 
ery of  the  patients,  and  the  general  welfare  of  the  Asylum, 


CLERK. 

1.  It  shall  be  the  duty  of  the  Clerk  to  keep  a  correct 
account,  in  a  book  provided  for  that  purpose,  of  all  sup- 
plies received  by  the  Steward  under  contract,  or  purchased 
by  him  under  direction  of  the  Superintendent.  He  shall 
keep  a  careful  account  of  all  articles  used  and  consumed  in 
the  Asylum  daily,  and  at  the  end  of  every  month,  he  shall 
make  an  exhibit  of  the  receipts,  expenditures,  and  disburse- 
ments— arranging  the  different  articles  used  under  appro- 


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priate  headings,  that  the  actual  cost  and  consumption  of 
each  article,  tor  each  day,  shall  bo  correctly  shown.  He 
shall  keep  the  ASYLUM  ACCOUNT,  the  PHYSICIANS'  PWKLLLM; 
•  INT,  the  GAUDKN  ACCOUNT,  the  Ori-ici-:  A.CCOUNT,  the 
KAII.M  Arr<»rNT,and  the  IMI-KOYK.MKNT  AND  RI:I>AIUS  A.CCOUNT, 
each  separate  and  distinct  from  the  other,  and  make  out 
separate  and  distinct  monthly  exhibits  of  each.  lie  shall 
also  make  out,  in  connection  with  the  exhibits  of  the  above 
accounts,  a  table  showing  the  combined  total  cost  per  day, 
and  the  combined  total  cost  per  month,  with  an  average 
cost  per  day;  and  the  average  cost  of  each  patient  per  day, 
and  the  average  cost  of  each  patient  per  month,  together 
with  any  other  items  that  may  be  of  interest  and  utility  to 
the  Asylum.  lie  shall  make  out  a  table  showing  what  bills 
are  to  be  paid  on  the  last  month's  expenditures,  and,  also, 
a  table  exhibiting  the  Superintendent's  estimate  for  the  ex- 
penditures of  the  ensuing  month. 

2.  It  shall  be  the  duty  of  the  Clerk  to  keep  a  correct 
account  of  the  patients  received — entering,  at  the  time  of 
their  admission,  in  a  book  provided  for  the  purpose,  a  con- 
densed copy  of  each  commitment,  with  the  facts  set  forth  in 
the  certificate  of  the  examining  physicians  accompanying 
the  same.  He  shall  also  note,  in  the  same  connection,  the 
condition  of  the  patient,  as  found  by  the  Superintendent  or 
Assistant  Physician,  at  the  time  of  admission. 


SUPERVISORS. 

1.  The  Supervisors  shall  have  a  general  oversight  of 
the  duties  of  the  Attendants;  they  shall  spend  their  time 
chiefly  in  the  wards,  and  they  shall  see  that  the  rules  pre- 
scribing the  duties  of  the  Attendants,  towards  the  patients, 
are  faithfully  observed,  that  the  patients  are  well  treated, 
and  in  all  respects  properly  cared  for;  they  shall,  in  an  es- 
pecial manner,  have  the  oversight  of  the  sick,  and  see  that 
watchers  are  detailed  for  such  as  require  it. 


12 

2.  They  shall  have  the  care  of  the  clothing  of  the  pa- 
tients, and  the  bedding,  table  linen,  towels,  etc.,  of  their 
respective  divisions.     On  the  arrival  of  a  patient  at  the  In- 
stitution, whatever  clothing  is  brought  shall  be  committed 
immediately  to  the  Supervisor  of  the  division  to  which  the 
patient  is  sent.     A  clothing  account  shall  be  opened  for 
each  patient,  in  a  book  provided  for  the  purpose,  in  which 
shall  be  entered  every  article  brought  to  the  Institution, 
including  what  may  be  on  the  patient's  person,  and,  also, 
whatever  may  afterwards  be  received  or  purchased  for  the 
patient's  use. 

3.  Money,  jewelry,  or  other  valuables,  shall  be  brought 
to  the  office  for  safe  keeping — except  where  their  retention 
by  the  patient  is  expressly  permitted  by  the  Superintend- 
ent or  Assistant  Physician.     On  the  discharge,  or  removal, 
of  a  patient,  the  clothing  in  his  or  her  possession,  shall  be 
carefully  compared  with  the  clothing  account  of  said  pa- 
tient, that  any  losses  may  be  discovered  or  accounted  for. 

4.  The  clothing  belonging  to  the  patients,  in  each  di- 
vision, shall  be  deposited  in  a  room,  set  apart  for  the  pur- 
pose, the  key  of  which  shall  be  in  custody  of  the  Supervi- 
sor, and,  at  some  particular  hour  of  the  day,  the  Supervisors 
shall  be  in  attendance  in  their  respective  clothing  rooms, 
to  exchange,  or  supply,  such  clothing  as  the  wants  of  pa- 
tients may  require,  and  Attendants  are  enjoined,  not  to  call 
on  the  Supervisors,  for  that  purpose,  at  any  other  times,  if 
avoidable.     Clothing  required  for  daily  use,  shall  be  kept 
in  the  ward  closets. 

5.  The  Supervisors  shall  have  charge  of  the  sewing 
rooms,  and  when  any  patient  is  in  want  of  new  clothing  the 
fact  shall  be  reported  to  the  Supervisors,  who  will  receive 
instructions  from  the  Superintendent  in  regard  to  its  sup- 
ply.    No  clothing  shall  be  purchased  out  of  the  Asylum,  if 
it  can  be  manufactured  in  the  sewing  rooms. 

6.  The  Supervisors  shall  be  careful  that  the  clothing 
of  patients  is  adapted  to  the  season,  and  especially  to  see 
that  patients  are  not  suffered  to  go  out,  cither  for  exercise 
or  labor,  without  a  careful  inspection  of  what  is  worn. 


7.  All  articles  belonging  to  patients,  shall  he  legibly 
marked,  and  llie  Supervisors  are  expected  to  see  thai  the 
clothing  of  each  patient  is  devoted  to  his  or  her  use,  and  to 
the  use  of  no  other. 

S.  The  Supervisors  shall  see  that  each  patient  is  sup- 
plied with  a  lull  change  of  under  clothing  once  a  week,  and 
thru  their  outer  clothing,  and  all  bed  clothing,  is  changed 
as  often  as  their  strict  cleanliness  shall  require. 


ATTEXDAXTS. 

1.  Those  employed  in  the  wards  in  the  care  of  the  pa- 
tients, as  their  Attendants,  should  remember  that  their  first 
duty  is  to  treat  them  with  unvarying  kindness,  respect  and 
attention.     Feelings  of  mutual  good  will,  can,  with  few  ex- 
ceptions, be  successfully  cultivated  between  Attendants  and 
those   under   their   immediate    care,  and .  doubts   may  be 
justly  entertained  of  an  Attendant's  fitness,  when  these  are 
wanting. 

2.  The  first  effort  on  the  part  of  an  Attendant,  on  re- 
ceiving a  patient,  should  be  to  win  his  or  her  confidence, 
however  insensible  the  patient  may  be  to  kindly  advances. 
Patients,  generally  enter  the  wards  with  the  thorough  con- 
viction that  evil  is  intended  them,  and  the  first  show  of 
harshness  or  force,  however  slight,  will  confirm  that  im- 
pression, while  kind  assurances  and  manifestations  of  sym- 
pathy, quickly  disarm  them  of  their  false  impressions,  and 
the  first  great  step  in  the  way  of  cure  is  begun.     The  At- 
tendant should  regard  the  patient  as  an  honored  guest,  who 
comes,  tarries  for  a  short  time,  and  goes  on  his  way,  to  give 
to  the  world  a  good  or  evil  report  of  his  entertainer. 

3.  When  a  patient   manifests  opposition  to  the  will  of 
the  Attendant,  the  point  should  never  give  rise  to  protrac- 
ted discussion,  as  opposition  maybe  only  increased  thereby. 
Patient-swill  usually  yield  when  mildly  and  kindly  informed 
that  they  are  only  asked  to  comply  with  a  rule  binding  on 
all,  and   that   the  request  is  not  merely  arbitrary.      When- 


14 


ever  continued  resistance  is  anticipated,  it  is  better  to  yield 
the  point  to  the  patient,  if  the  request  made  is  one  of  no 
great  importance,  and  report  the  case  to  the  Superintend- 
ent or  Assistant  Physician. 

4.  The  muffs,  sleeves,  wristbands,  or  other  means  of 
confinement,  are  never  to  be  used  unless  by  order  of  the 
Superintendent  or  Assistant  Physician  ;  and  the  Attendant 
shall  never,   under  any   circumstances,  use  greater  force 
than  is  sufficient  to  secure  the  patient,  himself,  or  others, 
from  the  efforts  of  his  or  her  violence,  and  after  the  patient 
is  secured  in  his  or  her  room,  the  Superintendent  or  As- 
sistant Physician  shall  be  informed  of  what  has  occurred. 

5.  During  the   evening,    after  patients    have    retired, 
one  Attendant  or  Assistant,  shall  always  be  present  in  each 
ward,  to  discover  any  disturbance,  and  administer  to  any 
necessity  that  may  arise,  and  no  Attendant  shall  ever  leave 
the  ward  in  which  he  or  she  is  engaged,  without  inform- 
ing an  Assistant  of  his  or  her  intended  absence.     During 
the  day  Attendants  are  expected  to  make  the  patients,  and 
the  patient's  clothing,  and  sleeping  apartments,  the  objects 
of  their  most  careful  attention. 

6.  On  rising  in  the  morning,  Attendants  shall  see  that 
the  patients  are  properly  dressed,  washed,  hair  combed, 
and  otherwise  in  good  condition  to  appear  at  breakfast. 
The  beds  shall  be  made,  rooms,  halls,  dining  rooms,  water 
closets  and  stair-ways  put  in  good  order  by  9  o'clock,  from 
April  to  September  inclusively,  and  by  10  o'clock  from  Oc- 
tober to  March  inclusively.     All  soiled  clothing,  bedding, 
etc.,  shall  be  taken  from  the  building,  at  the  earliest  possi- 
ble hour,  before  the  air  of  the  wards  becomes  contaminated 
thereby.     A  straw  bed  once  soiled  or  wet,  shall  be  imme- 
diately emptied  and  the  tick  sent  to  the  laundry.     The 
wards  and  stair-ways  shall  be  washed  and  swept  as  often 
as  necessary  to  secure  perfect  cleanliness.     Attendants  will 
be  assisted  by  the  patients  in  the  discharge  of  these  duties, 
but  are  themselves  alone  responsible  for  their  prompt  and 
faithful  performance ;  when  Attendants  or  Assistants  are 
engaged  with  their  patients  in  any  kind  of  outside  labor, 


they  shall  keep  a  correct  account  of  the  time  of  the  patient 
employed,  and  report  the  same  at  the  oilice  at  tlie  close  of 
every  week. 

7.  Attendants,  in   this  Institution,  are   considered  the 
Companions,  not  %k  keepers,"  of  the  patients,  and,  rega rd i n g 
themsel,  - 'leh,  tliey   shall   strive   to  keep   every  one, 
whose   physical    health    will   admit  of  it,  engaged   in  some 
kind  of  amusement  or  employment  in  lahor,  as  designated, 
from   time  to   time,    by   the    Superintendent,   or  Assistant 
Physician.     The  cultivation  of  fruits  and  flowers,  the  use  of 
the  library,  reading  room,  gymnasium,  bowling  alleys,  and 
other  means  for  mental,  moral  and  physical  training,  should 
be  in  every  way  encouraged. 

8.  The  Attendants  should  see  that  the  patients  indulge 
in  no  pernicious  practices;  those  given  to  solitary  habits 
must  receive  special  attention,  and,  as  far  as  possible,  in- 
duced to  participate  in  the  pursuits  and  amusements  of 
others.  t  Indolent  patients  should  be  led  about  the  wards 
and  yards,  and  induced  to  join  in  exercises;  those,  on  the 
contrary,  who  are  weak,  and  restless,  should  be  induced  to 
take  repose. 

9.  Attendants  are  forbidden  to  make  walking  out  with 
their  patients  a  pretext  for  doing  errands,  or  making  calls 
for  themselves,  and  they  must  not  go  to  town  with  the  pa- 
tients, when  the  state  of  the  roads  and  fields  allow  exercises 
in  other  directions,  and  they  must  be  especially  vigilant 
that  patients,  when  out,  do  not  obtain  possession  of  any 
dangerous  implements,  matches,  or  other  articles  improper 
for  them  to  have,  and  strict  search  must  be  made  for  such 
immediately  on  their  return  to  the  Asylum,  and  before 
they  shall  have  time  to  secrete  them  in  the  wards. 

10.  On  the  morning  of  Wednesday  and  Saturday  of 
y  week,  each  patient  shall   receive  a  tepid  bath,  unless 

by  reason  of  sickness  or  otherwise,  exceptions  shall  be 
made  by  the  Superintendent,  or  Assistant  Physician;  the 
male  patients  shall  be  shaven,  and  an  inspection  shall  be 
made  that  their  hair  and  nails  may  be  suitably  trimmed, 


16 


and  the  person  generally  in  cleanly  condition.  In  trim- 
ming the  hair,  no  more  should  be  taken  off  than  necessary 
to  secure  a  better  appearance  of  the  patient — the  practice 
of  cutting  the  hair  of  the  insane  close  to  the  head,  being 
positively  forbidden,  unless,  for  some  special  reason,  it  shall 
be  so  ordered  by  the  Superintendent  or  Assistant  Physician. 
11.  On  Mondays  and  Thursdays  the  Attendants  shall 
collect  all  clothing  designed  for  the  wash,  and  deliver  the 
same,  with  lists  thereof,  to  the  Supervisors,  at  the  assorting 
rooms,  and  on  Wednesdays  and  Saturdays  they  will  assist 
the  Overseers  of  the  laundry  to  assort  the  clothing,  and 
place  the  articles  of  each  ward  to  themselves  for  the  inspec- 
tion of  the  Supervisors,  who  will  compare  them  with  the 
washing  lists  and  make  their  return  thereon. 


ASSISTANTS. 

1.  The  Assistants  will  be  employed  with  the  Attend- 
ants in  the  care  of  the  patients,  their  rooms,  clothing,  etc.; 
they  will  be  under  the  immediate  direction  and  control  of 
the  Attendants  ;  and  they  are  expected  to  observe  with 
care  the  rules  prescribed  for  the  management  of  the  pa- 
tients, and  the  government  of  the  Asylum. 


MEALS. 

1.     The  meals  of  the  patients  shall  be  served  promptly 
at  the  following  hours  : 

Breakfast.  Dinner*  Supper. 

December,  ~) 

January,       j-  7  A.  M.  1  P.  M.  7  P.  M. 

February.    J 
March, 
April, 


October, 

November. 

June,  ^ 

July,  G  A.  M.  12  M.  6  P.  M. 

August.        J 


IT 


2.      The    Attendants    an-    required     r<>    sec    that    their 

patient*  aite  properly  prepared  for  their  meals;   that  their 

laces  are  washed,  hair  combed,  and  clothing  adjusted,  that 
eaeh  niav  present  a  cleanly  and  orderly  appearance. 

At  meals  the  Attendants  shall  always  he  present  to 
carve,  to  distrihnte  the  food,  to  see  that  each  one  has  a 
propel-  supply,  and  that  they  all  take  their  meals  in  a  pro- 
per manner.  Kach  shall  he  supplied  with  sneh  liberal 
allowance  as  the  nature  of  the  ease  may  require,  but  all 
waste,  irluttony,  or  improper  habits  at  the  table  shall  be 
mildly  checked  by  the  Attendants.  They  shall  be  allowed 
time  to  take  their  meals  at  leisure — habits  of  eating  differ, 
and  all  (the  old  particularly)  should  have  time  to  eat  with- 
out hurry. 

4.  Food  that  has  been  handled,  or  rendered  unfit  for 
use,  shall  be  sent  back  in  a  receptacle  provided  for  the 
purpose,  but  whatever  is  fit  to  be  served  in  another  form 
shall  be  carefully  laid  aside  tor  future  consumption. 

Some  very  plain  food  should  be  kept  in  the  dining- 
room  closets,  for  the  use  of  those  whose  meals  may  have 
been  interrupted,  or  for  old  persons,  or  for  convalescent 
patients,  who  sometimes  require  food  oftener  than  under 
ordinary  circumstances. 

6.  Care  must  be  taken  that  no  patient  carries  away 
from  the  table  a  knife,  fork,  spoon,  or  any  article  of 
food,  and,  to  be  sure  of  this,  the  knives,  forks  and  spoons 
should  be  counted  after  each  meal,  and  search  be  made  for 
any  lost  article. 


WATCHMAN. 

1.  The  duties  of  the  Watchman  will  commence  at  half- 
past  seven  o'clock,  p.  M.,  at  which  time  he  will  visit  the 
office  to  receive  instructions  for  the  night. 

2.  He  is  expected,  while  on  duty,  to  be  faithful  and 
vigilant ;  to  visit  every  part  of  the  male  department,  and 
the  outer  walls  of  the  female  department,  at  least  every 

3 


18 


hour  during  the  night,  making  as  little  noise  as  possible, 
never  conversing  in  a  loud  tone,  and  opening  and  shutting 
the  doors  as  quietly  as  possible. 

3.  He  is  expected  to  be  kind,  gentle  and  soothing  in 
his  manners  to  the  patients,  and  use  every  means  in  his 
power  to  tranquilize  those  who  are   excited,  and  to  allay 
the  fears  and  apprehensions  of  the  timid  ;  he  will  pay  par- 
ticular attention  to  the  sick,  the  suicidal,  and  those  recently 
admitted  ;  will  see  that  the  patients  are  properly  supplied 
with  water,  when  it  is  asked  for,  and  will  attend  to  all 
other  reasonable  wants  ;    will  notice  any  unusual  noise  in 
the  patients'  rooms,  endeavor  to  ascertain  the  cause,  and, 
if  necessary,  report  the  same  to  the  Attendant ;    he  will 
notice  anything  unusual  occurring  during  the  night,  and 
enter  the  same  on  a  slate  provided  for  the  purpose,  and  he 
shall  report  any  irregularities,  neglect  of  duty,  or  violation 
of  rules,  which  may  come  under  his  notice. 

4.  It  will  be  the  duty  of  the  Watchman  to  look  after 
the  heating  apparatus  during  the  night ;    he  must  be  very 
watchful  against  fire,  and  in  case  of  its  occurrence,  must 
report    immediately  to    the    Superintendent    and  officers 
without  giving  general  alarm  ;  he  shall  keep  the  hose  and 
fire-ladders  always  in  good  order,  and  in  readiness  for  use  ; 
he  shall  ring  the  bell  at  the  hour  for  rising  in  the  morning, 
and  he  will  be  expected  to  perform  such  other  duties  as 
may  be  required  of  him.     At  six  o'clock  A.  M.,  he  will  be 
relieved  by  the  Porter,  and  his  services  will  not  be  demand- 
ed again  till  the  time  for  duty  in  the  evening. 


WATCHWOMAST. 

1.  The  Watchwoman  will  have  charge  of  the  interior 
of  the  female  department  during  the  night,  and  in  the 
management  of  the  patients,  and  the  discharge  of  other 
duties,  will  be  governed  by  the  rules  and  regulations  laid 
down  for  the  government  of  the  Watchman. 


IV 


PORTER. 

1.  The  time  «.»f  service  <>r  the  Porter  commences  and 
ends  in  alternation  with  that  of  night  watchman.  Clean- 
ing, heating  ami  lighting  the  front  rooms  of  the  centre 
building  belong  to  him;  he  shall  see  that  the  front  win- 
dows and  doors  are  kept  secured  during  the  day,  and  that 
visitors  al)out  the  premises  do  not  transgress  the  rules  of 
propriety  by  talking  with  the  patients  at  the  windows. 

±  lie  is  expected  to  keep  within  the  sound  of  the 
office  bell,  unless  absent  on  duty  ;  he  shall  attend  to  all 
messages,  when  required,  and  receive  and  conduct  visitors 
— observing  toward  all  the  utmost  politeness  and  attention  ; 
and  he  will  be  expected  to  perform  such  other  duties  as 
may  be  required  of  him. 


GARDENER. 

1.  The  Gardener,  with  the  aid  of  such  patients  as  can 
be  taken  out  for  that  purpose,  shall  have  the  care  of  the 
orchard,  garden,  and  grounds  around  the  Asylum  and  Phy- 
pician's  house  ;  he  shall  have  charge  of  the  cultivation  of 
the  vegetables,  fruits  and  flowers,  and  he  will  be  held 
responsible  for  their  safe  keeping  and  delivery  at  the  Asy- 
lum, as  directed,  from  time  to  time,  by  the  Superintendent 
or  Steward. 

-.  He  shall  keep  a  pass-book,  in  which  shall  be  entered 
by  the  Steward,  the  number,  weight  or  measurement  of  the 
products  of  the  garden  and  orchard,  delivered  from  time 
to  time,  to  the  Asylum  and  Physician's  house,  together 
with  an  accurate  account  of  the  time  employed  by  the 
patients  in  his  department  of  labor,  and  he  shall  report  the 
same  at  the  office  every  Saturday  evening. 

3.  As  the  fruits  and  flowers  are  intended  for  the  use 
of  the  patients,  the  Gardener  is  enjoined  not  to  permit 
visitors  or  employees  to  pluck,  or  otherwise  disturb  them, 


without  permission  from  the  Superintendent  or  Assistant 
Physician. 


CARPENTER, 

1.  The  Carpenter,  who  is  also  Engineer,  shall  have 
charge    of    the   work-shop,    tools,   etc.,   belonging   to   his 
department  of  labor ;    he  shall,   with  his  Assistants,  who 
will  be  subject  to  his  direction,  attend  to  the  repairs,  alter- 
ations, and  improvements  made  under  the  direction  of  the 
Superintendent  or  Steward  ;    he  shall  also  have  charge  of 
the  engine-house,  and  tools  connected  therewith,  and  will 
be  expected  to  run  the  engine  as  often  as  may  be  necessary 
to  keep  a  full  and  ample  supply  of  water  in  the  tank  for 
the  daily  and  nightly  use  of  the  Asylum. 

2.  He  shall  keep  a  book  in  which  shall  be  entered  the 
amount  of  lumber  used,  and  the  time  employed  by  himself 
and  Assistants,  together  with  the  time  employed  by  the 
patients,  upon  each  item  of  labor  in  his  department;  he 
shall  also  keep,  in  the  same  book,  the  amount  of  fuel  con- 
sumed, and  the  running  time  of  the  engine  in  pumping 
water,  and  in  sawing  wood  and  lumber. 

3.  He  shall  make  a  report  to  the  Clerk  every  Saturday 
night,  showing  all  the  business  and  labor  of  his  charge 
during  the  week. 


OVERSEERS   OF   LAUNDRY. 

1.  The  Overseers  of  the  laundry  will  have  charge  of 
the  house  and  furniture  of  the  laundry ;    they  will  be  held 
responsible  for  the  safe-keeping  of  the  clothing  delivered 
to  them,  until  they  shall  be  Avashed,  ironed  and  returned, 
in  a  suitable  condition  for  immediate  use,  to  the  assorting 
room,  and  placed  in  the  charge  of  the  Supervisor. 

2.  They  shall  keep  the  house  and  furniture  in  good 
order,  and  see  that  everything  is  safely  locked  up  at  night ; 


lit 


they  .-hall  ohserve  the  rules  and  regulations  of  the  Institu- 
tioiu  and  sec  that  they  arc  ohscrved  by  all  who  arc  em- 
ployed under  them,  and  shall  report  any  ivinissncss,  or 
neglect  of  duty,  l<>  the  Superintendent  or  Steward. 


FARMER. 

1.  The  Fanner,  under  the  direction  and  control  of  the 
Steward,  shall  have  nnder  his  immediate  charge,  the  lands 
used  tor  fanning  purposes  ;  the  farming  implements,  the 
horses,  cattle,  hogs,  chickens  and  produce  of  the  farm, 
together  with  the  hay,  grain,  straw,  etc.,  purchased  and 
delivered  at  the  Asylum. 

'2.  He  will  keep  a  hook,  in  which,  under  the  head  of 
GENERAL  Acrorvrs,  he  will  charge  the  farm  with,  the  wages 
paid  for  labor,  and  the  labor  performed  by  the  patients; 
the  cost  of  farming  implements  ;  the  amount  paid  for 
blacksmithing ;  the  grain,  hay,  bran,  shorts,  straw,  etc., 
ived  ;  and  all  other  articles  or  items  of  expenditure  for 
farming  purposes.  Under  the  same  head,  he  will  credit  the 
farm  with  all  products  received;  with  the  labor  of  himself 
and  hands  in  making  fences,  gates,  putting  up  buildings 
etc.,  together  with  all  articles  which  may  be  sold. 

3.  He  will  also  keep,  in  the  same  book,  separate 
accounts  under  the  following  heads — FOR  THE  ASYLUM:  FOR 
HOGS  :  FOR  CATTLE,  ETC.  On  account  for  the  Asylum  he 
will  charge  every  article  of  produce,  grain,  hay,  straw,  etc., 
together  with  the  pork,  beef,  veal,  chickens,  etc.,  delivered 
from  time  to  time,  to  the  Steward,  for  the  use  of  the  Asy- 
lum and  the  Physcian's  house;  and  credit  the  Asylum  with 
every  article,  of  whatever  nature  or  kind,  purchased  by  the 
Steward  and  placed  in  his  keeping.  On  account  for  hogs 
he  will  charge— amount  paid  for  sows,  pigs,  shoats,  etc.' ; 
amount  paid  for  grain  fed  per  day;  amount  paid  for 
butchering  ;  and  amount  paid  for  any  expenses  not  inclu- 
ded in  the  above.  He  will  credit  the  number  and  weight 


of  hogs  sold,  and  the  amount  of  pork  supplied.  On 
account  for  cattle  he  will  charge — amount  paid  for  cattle 
purchased;  amount  paid  for  grain,  hay,  shorts,  bran,  etc., 
fed  per  day,  and  the  amount  of  any  other  expenditure 
incurred  for  cattle.  He  will  credit — the  quantity  of  milk 
and  butter  obtained  daily,  and  the  number  and  weight  of 
cattle  fatted  and  killed,  including  the  hides  and  tallow. 

4.  As  the  Farmer  will  be  held  responsible  for  the  safe 
keeping  of  all  grain,  hay,  straw,  bran,  shorts,  cattle,  hogs, 
horses,   farming  implements,  or  anything  else  connected 
with  the  farm,  the  Steward  will  see  that  no  such  article  is 
left  at  the  Asylum,  unless  received  by  himself  in  person, 
or  by  the  Farmer. 

5.  The  Farmer  will  be  careful  to  confer  often  with  the 
Steward  in  reference  to  all  matters  pertaining  to  his  charge, 
give  tiniely  notice    as   to   all   his  wants,  and   he  will  be 
expected  to  be  faithful  and  industrious  in  the  use  of  every 
means  in  his  power,  to  render  the  farm  productive  and  pro- 
fitable to  the  Asylum. 

6.  He  shall  make  a  report, .  embracing  all  the  business 
transactions  of  the  farm,  whenever  required  to  do   so  by 
the  Superintendent  or  Steward. 


VISITORS. 

1.  Visitors  and  others  will  be  permitted  to  visit  the 
Institution  on  any  day,  except  Sunday,  between  the  hours 
of  10  A.  M.  and  3  P.  M. 

2.  ~No  visitor  shall  be  admitted  within  the  wards  occu- 
pied by  the  patients,  without  express  permission  from  the 
Superintendent,  or  Assistant  Physician.    And  especial  care 
must  be  taken  that  no  amount  of  visiting  is  permitted  in 
the  wards  that  might  prove  injurious  to  the  patients. 

3.  Visitors   are    expressly   forbidden   to   furnish   any 
inmate  of  the  Asylum  with  tobacco  in  any  form  ;    or  to 
deliver  to,  or  receive  from  a  patient,  any  letter,  parcel,  or 


package,  without  the  knowledge  and  approbation  of  tin" 
Superintendent,  or  Assistant  Physician. 

4.  Tho>c   having  eharuv    of   patients   are   particularly 
enjoined  to  abstain  I'roin   mentioning  to  visitors  the  names 
of  those   in   their  charge,  their   peculiarities,  or  any  other 
circumstances,  a    knowledge  of  which   might  be  painful  to 
persons  connected  with  them. 

5.  Visitors  are  respectfully  requested  not  to  disturb 
the  flowers  and  fruit  in  the  Asylum  garden  and  grounds. 


LIBRARY. 

1.  The  Library  of  the  male  department  shall  be  under 
the  charge  of  the  Supervisor.     Every  volume  taken  there- 
from shall  be  charged  to  the  borrower,  except  for  the  use 
of  the  patients,  when  it  shall  be  charged  to  the  Attendant, 
into  whose  ward  it  is  taken,  who  will  be  responsible  for  its 
being  used  with  ordinary  care  and  returned  in  proper  time. 

2.  If  a  volume  shall   be   lost   or   destroyed,  by  any 
patient,  the  Attendant,  having  charge  of  the  patient,  will 
report  the   fact   to   the   Supervisor,    and,    if    practicable, 
exhibit  the  fragments.     If  lost  or  destroyed,  by  any  other 
person,  it  must  be  replaced. 

3.  ]STo  one  will  be  permitted  to  take  from  the  library 
more  than  one  volume  at  a  time,  or  to  keep  a  volume  more 
than  two  weeks,  without  permission  from  the  Superinten- 
dent or  Assistant  Physician,  except  Bibles,  Testaments  and 
Prayer  books  placed  in  the  hands  of  the  patients  for  daily 
reading. 

4.  The  Supervisor  will  be  responsible  for  books  taken 
from  the  library  and  not  charged. 

5.  The  Library  of  the  female  department  will  be  under 
the  charge  of  the  Matron,  who,  in  its  management,  will  be 
governed  by  the  above  rules,  prescribing  the  duties  and 
responsibilities  of  the  Supervisor. 


ACKNOWLEDGMENT. 

In  the  preparation  of  the  foregoing  Rules  and  Regulations,  the  Resident 
Physician  has  made  free  Use  of  the  published  rules  of  other  Institutions, 
particularly  those  of  the  Illinois  State  Hospital  for  the  Insane, 


14  DAY  USE 

RETURN  TO  DESK  FROM  WHICH  BORROWED 

BIOLOGY  LIBRARY 

TEL.  NO.  642-2532 

This  book  is  due  on  the  last  date  stamped  below,  or 

on  the  date  to  which  renewed. 
Renewed  books  are  subject  to  immediate  recall. 


MAR  1  1  V 

lYlniN  1  J 

•          Subject  to  Recall 

immediately 

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APR 

LD  2lA-12m-5,'68 
(J401slO 


General  Library 

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